Gay and bisexual men and other men who have sex with men (GBMSM) with problematic chemsex (a specific sexualized drug use pattern) face several health issues. The aim of this monocentric observational study was to assess the mental health history and attachment style (AS) within 71 GBMSM seeking care for problematic chemsex. Attachment style (AS) was evaluated using the Relationship Scales Questionnaire. 82% of the cohort (58) had at least one mental health disorder (among depression, anxiety, alcohol use disorder or hypersexuality). 9.9% were admitted to intensive care due to chemsex use. Traumas were frequent, with 31% reporting childhood sex abuse and 24% declaring having attempted suicide. 62 (87%) had insecure AS: 38% preoccupied, 23% fearful and 24% dismissing. Users with a positive self model (N = 24) had fewer comorbidities (63% vs 92%, p = .003) and practiced more chemsex alone (75% vs 33%, p < .001) than users with negative self model (N = 47). Users with a positive other model (N = 35) practiced more slamsex (injections of substance in a sexual context) (80% vs 50%, p = .008) and had fewer comorbidities (71% vs 92%, p = .027) than users with a negative other model (N = 36). Attachment theory is a way to provide holistic and tailored and harm reduction.

中文翻译：

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与从事化学性行为的男性发生性关系的男性的依恋和心理健康：药物滥用只是冰山一角吗？

男同性恋者和双性恋者以及其他有问题的化学性行为（一种特定的性化药物使用模式）的男男性行为者 (GBMSM) 面临着一些健康问题。这项单中心观察性研究的目的是评估 71 名寻求有问题化学性行为护理的 GBMSM 的心理健康史和依恋风格 (AS)。使用关系量表问卷评估依恋风格（AS）。该队列中 82% 的人 (58) 患有至少一种精神健康障碍（抑郁、焦虑、酗酒或性欲亢进）。9.9% 的人因使用化学性药物而住进重症监护室。创伤频繁发生，31% 的人报告称童年时遭受过性虐待，24% 的人声称曾试图自杀。62 人 (87%) 患有不安全 AS：38% 心事重重，23% 感到恐惧，24% 不屑一顾。与具有消极自我模型的用户相比，具有积极自我模型的用户 (N = 24) 的合并症较少（63% vs 92%，p = .003），并且单独练习更多的化学性行为（75% vs 33%，p < .001）（ N = 47）。具有积极其他模型的用户 (N = 35) 进行更多的 slamsex（在性行为中注射物质）（80% vs 50%，p = .008）并且合并症较少（71% vs 92%，p = .027） ）比具有负面其他模型的用户（N = 36）。依恋理论是一种提供整体、定制和减少伤害的方法。